A Randomized Controlled Trial of Video Education versus Skill Demonstration: Which Is More Effective in Teaching Sterile Surgical Technique?

2018 ◽  
Vol 19 (3) ◽  
pp. 303-312 ◽  
Author(s):  
Stephanie N. Pilieci ◽  
Saad Y. Salim ◽  
Daithi S. Heffernan ◽  
Kamal M.F. Itani ◽  
Rachel G. Khadaroo
Keyword(s):  
Randomized Controlled Trial ◽  
Surgical Technique ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Video Education

scholarly journals Fetal Myelomeningocele Closure: Technical Considerations

2014 ◽  
Vol 37 (3) ◽  
pp. 166-171 ◽  
Author(s):  
Gregory G. Heuer ◽  
N. Scott Adzick ◽  
Leslie N. Sutton
Keyword(s):  
Randomized Controlled Trial ◽  
Surgical Technique ◽  
General Surgery ◽  
Congenital Malformations ◽  
Controlled Trial ◽  
Spinal Fluid ◽  
Fetal Period ◽  
Randomized Controlled ◽  
Technical Considerations ◽  
Postnatal Closure

Myelomeningocele (MMC) is one of the most common serious congenital malformations. Typically this condition has been treated with closure of the MMC defect shortly after birth. In general, surgery for MMC aims to provide a multilayered closure to provide protection to the neural elements, prevent leakage of spinal fluid and reduce infection risks. A randomized controlled trial, the Management of Myelomeningocele Study (MOMS), has shown that closure during the fetal period can be performed relatively safely and can result in significant benefit to the child. Whereas the surgical technique of prenatal closure of an MMC defect is similar to a postnatal closure, there are some important technical differences. The goal of this paper is to describe the technique of fetal closure of MMC defects, highlight the unique steps that are needed for this surgery and delineate some potential pitfalls.

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